US5777081A - Process for producing an inter-alpha-trypsin inhibitor concentrate for therapeutic use and concentrate thus obtained - Google Patents
Process for producing an inter-alpha-trypsin inhibitor concentrate for therapeutic use and concentrate thus obtained Download PDFInfo
- Publication number
- US5777081A US5777081A US08/632,460 US63246096A US5777081A US 5777081 A US5777081 A US 5777081A US 63246096 A US63246096 A US 63246096A US 5777081 A US5777081 A US 5777081A
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- United States
- Prior art keywords
- iti
- concentrate
- chromatography
- fraction
- alpha
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- 108010093564 inter-alpha-inhibitor Proteins 0.000 title claims abstract description 64
- 239000012141 concentrate Substances 0.000 title claims abstract description 26
- 238000000034 method Methods 0.000 title claims abstract description 23
- 230000008569 process Effects 0.000 title claims abstract description 22
- 230000001225 therapeutic effect Effects 0.000 title claims abstract description 10
- 238000001042 affinity chromatography Methods 0.000 claims abstract description 7
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 claims abstract description 6
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- QFVHZQCOUORWEI-UHFFFAOYSA-N 4-[(4-anilino-5-sulfonaphthalen-1-yl)diazenyl]-5-hydroxynaphthalene-2,7-disulfonic acid Chemical compound C=12C(O)=CC(S(O)(=O)=O)=CC2=CC(S(O)(=O)=O)=CC=1N=NC(C1=CC=CC(=C11)S(O)(=O)=O)=CC=C1NC1=CC=CC=C1 QFVHZQCOUORWEI-UHFFFAOYSA-N 0.000 description 1
- LKDMKWNDBAVNQZ-UHFFFAOYSA-N 4-[[1-[[1-[2-[[1-(4-nitroanilino)-1-oxo-3-phenylpropan-2-yl]carbamoyl]pyrrolidin-1-yl]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]amino]-4-oxobutanoic acid Chemical compound OC(=O)CCC(=O)NC(C)C(=O)NC(C)C(=O)N1CCCC1C(=O)NC(C(=O)NC=1C=CC(=CC=1)[N+]([O-])=O)CC1=CC=CC=C1 LKDMKWNDBAVNQZ-UHFFFAOYSA-N 0.000 description 1
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- 102100035882 Catalase Human genes 0.000 description 1
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- 108090000617 Cathepsin G Proteins 0.000 description 1
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- 102000001390 Fructose-Bisphosphate Aldolase Human genes 0.000 description 1
- 108010068561 Fructose-Bisphosphate Aldolase Proteins 0.000 description 1
- 108090000288 Glycoproteins Proteins 0.000 description 1
- 102000003886 Glycoproteins Human genes 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 101000975003 Homo sapiens Kallistatin Proteins 0.000 description 1
- 101001077723 Homo sapiens Serine protease inhibitor Kazal-type 6 Proteins 0.000 description 1
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- 208000007536 Thrombosis Diseases 0.000 description 1
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- 102000009843 Thyroglobulin Human genes 0.000 description 1
- 102000004142 Trypsin Human genes 0.000 description 1
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- BFNBIHQBYMNNAN-UHFFFAOYSA-N ammonium sulfate Chemical compound N.N.OS(O)(=O)=O BFNBIHQBYMNNAN-UHFFFAOYSA-N 0.000 description 1
- 229910052921 ammonium sulfate Inorganic materials 0.000 description 1
- 235000011130 ammonium sulphate Nutrition 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 229960005348 antithrombin iii Drugs 0.000 description 1
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 1
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- 230000015572 biosynthetic process Effects 0.000 description 1
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- 230000037396 body weight Effects 0.000 description 1
- 229940098773 bovine serum albumin Drugs 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 229920002301 cellulose acetate Polymers 0.000 description 1
- 239000002738 chelating agent Substances 0.000 description 1
- 239000003541 chymotrypsin inhibitor Substances 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 230000036425 denaturation Effects 0.000 description 1
- 238000004925 denaturation Methods 0.000 description 1
- 229940042399 direct acting antivirals protease inhibitors Drugs 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 210000002889 endothelial cell Anatomy 0.000 description 1
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- 238000002523 gelfiltration Methods 0.000 description 1
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- 238000011065 in-situ storage Methods 0.000 description 1
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- 230000004054 inflammatory process Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
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- 230000001665 lethal effect Effects 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000000440 neutrophil Anatomy 0.000 description 1
- 229940092253 ovalbumin Drugs 0.000 description 1
- 229920002401 polyacrylamide Polymers 0.000 description 1
- 208000030428 polyarticular arthritis Diseases 0.000 description 1
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 description 1
- 229920000053 polysorbate 80 Polymers 0.000 description 1
- 231100000683 possible toxicity Toxicity 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 102000004196 processed proteins & peptides Human genes 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 108010012557 prothrombin complex concentrates Proteins 0.000 description 1
- 239000002510 pyrogen Substances 0.000 description 1
- 239000003001 serine protease inhibitor Substances 0.000 description 1
- 238000001542 size-exclusion chromatography Methods 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
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- STCOOQWBFONSKY-UHFFFAOYSA-N tributyl phosphate Chemical compound CCCCOP(=O)(OCCCC)OCCCC STCOOQWBFONSKY-UHFFFAOYSA-N 0.000 description 1
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- 210000002700 urine Anatomy 0.000 description 1
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- 239000011701 zinc Substances 0.000 description 1
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Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- C07K14/81—Protease inhibitors
- C07K14/8107—Endopeptidase (E.C. 3.4.21-99) inhibitors
- C07K14/811—Serine protease (E.C. 3.4.21) inhibitors
- C07K14/8114—Kunitz type inhibitors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/55—Protease inhibitors
- A61K38/57—Protease inhibitors from animals; from humans
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Definitions
- the present invention relates to a process for producing an inter-alpha-trypsin inhibitor (ITI) concentrate from a human plasma fraction and the concentrate obtained by said process which is suitable for therapeutic use.
- ITI inter-alpha-trypsin inhibitor
- ITI is a serine-protease inhibitor found in plasma. Its name derives from its activity as a trypsin inhibitor and from its electrophoretic mobility located between that of ⁇ 1 and ⁇ 2 globulins (thus "inter-alpha").
- ITI belongs to the "Kunitz-type inhibitors" family (1-4) and consists of 3 polypeptidic chains, two heavy H1 and H2 and one light, called bikunin, the whole being linked by a glycosaminoglycan (GAG) chain. The light chain is responsible for the antiprotease activity.
- ITI is a glycoprotein with a molecular mass of 220,000 Da.
- ITI is synthesized in the liver and circulates in plasma at a concentration of about 0.5 g/l.
- ITI is very sensitive to the action of numerous proteases which degrade it into derivatives of lower molecular weight.
- UTI urinary trypsin inhibitor derived from bikunin
- urine which has allowed its isolation and the study of its properties (5,6); this fragment is responsible for many ITI activities and, in particular, its antiprotease activity.
- ITI The physiological role of ITI is not yet totally understood. It shows antiprotease activities, in particular as trypsin and chymotrypsin inhibitor, as inhibitor of elastase and cathepsin G which are liberated by the activation of neutrophil polynuclear cells, as plasmin and kallikrein inhibitor. It could also have a growth factor activity for endothelial cells (7).
- ITI could be considered as a pro-inhibitor able to generate active fragments, for example by the action of proteases liberated during inflammatory reactions, said fragments being able to diffuse into the intercellular spaces and to participate to tissue protection against proteases.
- the Applicant has thus tried to develop a new process for purifying ITI, from human plasma, applicable on an industrial scale and resulting in a molecule with similar biological and structural properties as the native molecule.
- the Applicant has taken advantage of a process for producing a high purity concentrate of blood coagulation Factor IX that he has developed (15, 16, and EP 0 317 376) and that provides a fraction which has not been used industrially until now and which is particularly rich in ITI. It is one aim of the present invention to develop a process for purifying ITI from this fraction, without interfering with the yield of recovery of other blood components.
- the eluated PCC fraction is subjected to viral inactivation treatment by solvent-detergent (tri(n-butyl)phosphate (TnBP)/Tween),
- the ITI containing fraction is subjected to a hromatography on heparin-Sepharose® in sodium-citrate buffer at about 40 mM and pH 7.45, which eliminates proteins C and S in the filtrate and adsorbs the other proteins; elution by adding 0.2M NaCl allows the recovery of a fraction wherein 90% of the proteins are native ITI;
- a major advantage of the process according to the invention is the quickness of its implementation (about 10 hours per step) which is particularly important for a very labile molecule like ITI.
- the ITI molecule of the concentrate obtained by the process of the invention thus shows a structure similar to that of native ITI which means it is formed of 3 peptidic chains, as demonstrated by polyacrylamide gel electrophoresis after chondroitinase digestion.
- the specific activiy of the ITI concentrate was evaluated by its antitrypsin activity (measured according to conventional technique with a chromogenic substrate, LBAPNA) to be 420-500 mU/mg of protein.
- the characteristics of the ITI concentrate according to the invention render this preparation especially suitable for a therapeutic use for humans, among others for treating severe inflammatory disorders.
- This fraction is subjected to viral inactivation treatment by contact with TnBP/Tween(final concentration 0.3% tri(n-butyl)phosphate--1% Tween 80) at 24° C for 6 hours.
- the ITI enriched fraction is adjusted to 40 g proteins/l at 100 mOsmol/l and pH 7.45. It is subjected to chromatography on heparin-Sepharose® in 40 mM trisodium citrate buffer at pH 7.45. Two liters of the concentrate fraction are used for a column of 18 liters of gel. Proteins C and S are eliminated in the filtrate; the other components of the fraction are adsorbed on the column. The column is washed with the same buffer supplemented with 0.05 M NaCl which eliminates Factor X and degraded forms of ITI. The ITI is eluted by adding 0.2M NaCl in the buffer. The eluted fraction contains more than 90% (in weight of proteins) of ITI.
- the specific activity is 420-500 mU/mg of protein.
- the freeze-dried concentrate was reconstituted (total amount of proteins: 8 g/l) and controlled in several animal models.
- HMW-kininogen protein aggregates or peptides released by High Molecular Weight (HMW)-kininogen was controlled in rats, by measuring the heart rythm and blood pressure after intraveinous infusion of 4 ml/kg at 0.1 ml/sec. Both parameters remain constant ( ⁇ 2% variation) after infusion.
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- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medicinal Chemistry (AREA)
- Organic Chemistry (AREA)
- General Health & Medical Sciences (AREA)
- Gastroenterology & Hepatology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Pharmacology & Pharmacy (AREA)
- Veterinary Medicine (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Engineering & Computer Science (AREA)
- Biophysics (AREA)
- Epidemiology (AREA)
- Biochemistry (AREA)
- Immunology (AREA)
- Genetics & Genomics (AREA)
- Molecular Biology (AREA)
- Zoology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Peptides Or Proteins (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
Abstract
Description
Claims (7)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| FR9312346 | 1993-10-18 | ||
| FR9312346A FR2711371B1 (en) | 1993-10-18 | 1993-10-18 | Process for the preparation of an inhibitory inter-alpha-trypsin concentrate for therapeutic use and concentrate obtained. |
| PCT/FR1994/001197 WO1995011260A1 (en) | 1993-10-18 | 1994-10-17 | Process for preparing an inter-alpha-trypsine inhibitor concentrate for therapeutical use, and concentrate thus obtained |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US5777081A true US5777081A (en) | 1998-07-07 |
Family
ID=9451908
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US08/632,460 Expired - Lifetime US5777081A (en) | 1993-10-18 | 1994-10-17 | Process for producing an inter-alpha-trypsin inhibitor concentrate for therapeutic use and concentrate thus obtained |
Country Status (12)
| Country | Link |
|---|---|
| US (1) | US5777081A (en) |
| EP (1) | EP0724600B1 (en) |
| JP (1) | JP3650937B2 (en) |
| AT (1) | ATE213252T1 (en) |
| AU (1) | AU7996294A (en) |
| CA (1) | CA2174231C (en) |
| DE (1) | DE69429868T2 (en) |
| DK (1) | DK0724600T3 (en) |
| ES (1) | ES2173927T3 (en) |
| FR (1) | FR2711371B1 (en) |
| PT (1) | PT724600E (en) |
| WO (1) | WO1995011260A1 (en) |
Cited By (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6130055A (en) * | 1997-08-29 | 2000-10-10 | Kyoto Daiichi Kagaku Co., Ltd. | Method for measuring the concentration or the activity of protease inhibitor |
| WO2002030983A3 (en) * | 2000-10-13 | 2002-12-12 | Octapharma Ag | Plasma fraction containing bikunin, method for the production thereof and use of the same |
| US6596705B1 (en) | 1998-02-09 | 2003-07-22 | The Regents Of The University Of California | Inhibition of L-selectin and P-selection mediated binding using heparin |
| US6660482B1 (en) | 2000-02-28 | 2003-12-09 | Rhode Island Hospital | Inter-alpha-trypsin inhibitor as a marker for sepsis |
| US20040072796A1 (en) * | 2002-04-18 | 2004-04-15 | Embury Stephen H. | Method and composition for preventing pain in sickle cell patients |
| US20070297982A1 (en) * | 2003-11-08 | 2007-12-27 | Prothera Biologics | Preparation And Composition Of Inter-Alpha Inhibitor Proteins From Human Plasma For Therapeutic Use |
| US20110190194A1 (en) * | 2008-05-28 | 2011-08-04 | Pro Thera Biologics, Llc | Preparation and composition of inter-alpha proteins from blood |
| CN103880951A (en) * | 2014-03-31 | 2014-06-25 | 南昌市万华生化制品有限公司 | Method for preparing pure ulinastatin from ulinastatin affinity chromatography medium |
| US9572872B2 (en) | 2012-09-09 | 2017-02-21 | Prothera Biologics, Inc. | Treatment of disease using inter-alpha inhibitor proteins |
| CN109776674A (en) * | 2019-02-19 | 2019-05-21 | 广东天普生化医药股份有限公司 | Ulinastatin of purifying and preparation method thereof and pharmaceutical composition containing the ulinastatin |
| US11725043B2 (en) | 2020-03-05 | 2023-08-15 | DiaMedica USA Inc. | Ulinastatin polypeptides |
| US12265090B2 (en) | 2017-04-25 | 2025-04-01 | Prothera Biologics, Inc. | Inter-alpha inhibitor proteins |
| US12285471B2 (en) | 2016-09-13 | 2025-04-29 | Prothera Biologics, Inc. | Methods for treating pulmonary disease using inter-alpha inhibitor proteins |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US8772462B2 (en) | 2010-05-26 | 2014-07-08 | Baxter International Inc. | Removal of serine proteases by treatment with finely divided silicon dioxide |
| AU2010202125B1 (en) | 2010-05-26 | 2010-09-02 | Takeda Pharmaceutical Company Limited | A method to produce an immunoglobulin preparation with improved yield |
| CN103119058A (en) | 2010-07-23 | 2013-05-22 | 巴克斯特国际公司 | Manufacture of inter -alpha - inhibitor proteins (IAIP) from plasma |
| EP3362464B1 (en) * | 2015-10-15 | 2021-04-28 | Plasma Technologies LLC | Methods for extracting proteins from blood plasma |
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- 1994-10-17 ES ES94931070T patent/ES2173927T3/en not_active Expired - Lifetime
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| US6130055A (en) * | 1997-08-29 | 2000-10-10 | Kyoto Daiichi Kagaku Co., Ltd. | Method for measuring the concentration or the activity of protease inhibitor |
| US6596705B1 (en) | 1998-02-09 | 2003-07-22 | The Regents Of The University Of California | Inhibition of L-selectin and P-selection mediated binding using heparin |
| US6787365B2 (en) | 1998-02-09 | 2004-09-07 | The Regents Of The University Of California | Inhibition of L-selectin and P-selectin mediated binding using heparin |
| US6660482B1 (en) | 2000-02-28 | 2003-12-09 | Rhode Island Hospital | Inter-alpha-trypsin inhibitor as a marker for sepsis |
| WO2002030983A3 (en) * | 2000-10-13 | 2002-12-12 | Octapharma Ag | Plasma fraction containing bikunin, method for the production thereof and use of the same |
| US20030190732A1 (en) * | 2000-10-13 | 2003-10-09 | Djuro Josic | Plasma fraction containing bikunin, method for the production thereof and use of the same |
| US20040072796A1 (en) * | 2002-04-18 | 2004-04-15 | Embury Stephen H. | Method and composition for preventing pain in sickle cell patients |
| US20080112955A1 (en) * | 2002-04-18 | 2008-05-15 | Trf Pharma, Inc. | Method and composition for preventing pain in sickle cell patients |
| US20070297982A1 (en) * | 2003-11-08 | 2007-12-27 | Prothera Biologics | Preparation And Composition Of Inter-Alpha Inhibitor Proteins From Human Plasma For Therapeutic Use |
| US7932365B2 (en) * | 2003-11-08 | 2011-04-26 | Pro Thera Biologics, Llc | Preparation and composition of inter-alpha inhibitor proteins from human plasma for therapeutic use |
| USRE47972E1 (en) * | 2003-11-08 | 2020-05-05 | Prothera Biologics, Inc. | Preparation and composition of inter-alpha inhibitor proteins from human plasma for therapeutic use |
| US9139641B2 (en) | 2008-05-28 | 2015-09-22 | Prothera Biologics, Inc. | Preparation and composition of inter-alpha proteins from blood |
| US9758570B2 (en) | 2008-05-28 | 2017-09-12 | Prothera Biologics, Inc. | Preparation and composition of inter-alpha inhibitor proteins from blood |
| US10076559B2 (en) | 2008-05-28 | 2018-09-18 | Prothera Biologics, Inc. | Preparation and composition of inter-alpha inhibitor proteins from blood |
| US20110190194A1 (en) * | 2008-05-28 | 2011-08-04 | Pro Thera Biologics, Llc | Preparation and composition of inter-alpha proteins from blood |
| US9572872B2 (en) | 2012-09-09 | 2017-02-21 | Prothera Biologics, Inc. | Treatment of disease using inter-alpha inhibitor proteins |
| US10258675B2 (en) | 2012-09-09 | 2019-04-16 | Prothera Biologics, Inc. | Treatment of disease using inter-alpha inhibitor proteins |
| CN103880951A (en) * | 2014-03-31 | 2014-06-25 | 南昌市万华生化制品有限公司 | Method for preparing pure ulinastatin from ulinastatin affinity chromatography medium |
| CN103880951B (en) * | 2014-03-31 | 2016-03-30 | 南昌市万华生化制品有限公司 | A kind of method being prepared sterling ulinastatin by ulinastatin affinity chromatography medium |
| US12285471B2 (en) | 2016-09-13 | 2025-04-29 | Prothera Biologics, Inc. | Methods for treating pulmonary disease using inter-alpha inhibitor proteins |
| US12265090B2 (en) | 2017-04-25 | 2025-04-01 | Prothera Biologics, Inc. | Inter-alpha inhibitor proteins |
| CN109776674A (en) * | 2019-02-19 | 2019-05-21 | 广东天普生化医药股份有限公司 | Ulinastatin of purifying and preparation method thereof and pharmaceutical composition containing the ulinastatin |
| CN109776674B (en) * | 2019-02-19 | 2020-01-17 | 广东天普生化医药股份有限公司 | Purified ulinastatin, preparation method thereof and pharmaceutical composition containing ulinastatin |
| US11725043B2 (en) | 2020-03-05 | 2023-08-15 | DiaMedica USA Inc. | Ulinastatin polypeptides |
Also Published As
| Publication number | Publication date |
|---|---|
| JP3650937B2 (en) | 2005-05-25 |
| DE69429868D1 (en) | 2002-03-21 |
| EP0724600B1 (en) | 2002-02-13 |
| PT724600E (en) | 2002-07-31 |
| JPH09503775A (en) | 1997-04-15 |
| WO1995011260A1 (en) | 1995-04-27 |
| DE69429868T2 (en) | 2002-09-19 |
| AU7996294A (en) | 1995-05-08 |
| FR2711371B1 (en) | 1995-12-29 |
| ES2173927T3 (en) | 2002-11-01 |
| CA2174231A1 (en) | 1995-04-27 |
| ATE213252T1 (en) | 2002-02-15 |
| FR2711371A1 (en) | 1995-04-28 |
| CA2174231C (en) | 2004-06-01 |
| EP0724600A1 (en) | 1996-08-07 |
| DK0724600T3 (en) | 2002-05-27 |
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